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DR. JAMES M KOERTEN MD
NPI 1104870237
Obstetrics & Gynecology in Sevierville, TN

Active since May 22, 2006PECOS EnrolledAccepts Medicare Assignment
1102 FOXWOOD DR, SUITE #1, SEVIERVILLE, TN 37862(865) 453-7717(865) 428-8933 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Dr. James M Koerten Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES M KOERTEN MD (NPI 1104870237) is an individual obstetrics & gynecology provider in Sevierville, Tennessee, licensed in Tennessee (016187) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Regional One Health, and maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1104870237
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES M KOERTENCredential: MD
Location Address1102 FOXWOOD DR, SUITE #1Sevierville, TN 37862-9365
Mailing Address1102 Foxwood Dr, Suite #1Sevierville, TN 37862-9365 · (865) 453-7717 · Fax (865) 428-8933
Phone(865) 453-7717
Fax(865) 428-8933
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1981
Enumeration DateMay 22, 2006
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1104870237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in TN · 016187✔ Licensed in GA · 94254
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1102 FOXWOOD DR, Sevierville, TN 37862
Open in Google Maps ↗

Secondary Practice Location 1

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James M Koerten Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870623234
PECOS Enrollment IDI20100610000750
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show James Koerten reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memphis Health Center, Inc.
343 mi
Federally Qualified Health Center (FQHC)
4940 HIGHWAY 57
Rossville, TN 38066
  • Reassigned Medicare billing, Tennessee enrollment
  • 85 clinicians in this Medicare group
NPI 1760780969 (901) 261-7303
Ut Regional One Physicians Inc
369 mi
Surgery
877 JEFFERSON AVE
Memphis, TN 38103
  • Reassigned Medicare billing, Tennessee enrollment
  • 421 clinicians in this Medicare group
NPI 1093130585 (901) 545-8336
Ascension Medical Group Promed
423 mi
Pediatrics
1555 E CHICAGO RD
Sturgis, MI 49091
  • Reassigned Medicare billing, Michigan enrollment
  • 465 clinicians in this Medicare group
NPI 1013926997 (269) 651-7114

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37862 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIO C GUERRA MD
Obstetrics & Gynecology
1102 FOXWOOD DR, SUITE 31
SEVIERVILLE, TN 37862
Sevier County (865) 453-7717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Koerten's NPI number?

The NPI number for James Koerten is 1104870237. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is James Koerten located?

James Koerten practices at 1102 Foxwood Dr Suite #1, Sevierville, TN 37862. The listed phone number is (865) 453-7717.

What is James Koerten's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Koerten enrolled in Medicare?

Yes. James Koerten is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Koerten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Koerten reassigns Medicare benefits to 3 organizations: Memphis Health Center, Inc. (Rossville, TN), Ut Regional One Physicians Inc (Memphis, TN) and Ascension Medical Group Promed (Sturgis, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Koerten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Koerten accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and Oscar Insurance Company list James Koerten as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Koerten affiliated with any hospitals?

According to CMS data, James Koerten is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for James Koerten was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.